Type 1 Diabetes
Conditions
Brief summary
The goal of this observational study is to examine the impact of an online peer support group in Children's Mercy teens with Type 1 Diabetes. The main objectives are to examine the feasibility and acceptability of the Diabetes Link's online social platform Discord among youth with diabetes as it relates to peer support, diabetes management, and usability and to examine the efficacy/magnitude of the effect of the Discord group on treatment adherence among youth with diabetes. Participants will participate in an online peer support group for 3 months and provide their feedback while doing so.
Interventions
BEHAVIORALPeer Support Group
Participation in an Online Peer Support Group
Sponsors
Children's Mercy Hospital Kansas City
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 19 Years
Healthy volunteers
Yes
Inclusion criteria
* T1D Diagnosis * 16-19 years old * 11th-12th graders * Access to smartphone/laptop * English-speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Discord User Metrics | 3 months | Participant involvement was measured by the number of user instances of involvement in the online group (group chats plus online events attended). |
| Yes Responses on Final Feedback Survey | 3 months | Each participant had 4 yes/no questions to answer about their study experience. Yes implied high satisfaction, and no meant there was room for improvement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diabetes Measures | 3 months | percentage of HbA1c |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Peer Support Group Peer Support Group: Participation in an Online Peer Support Group | 10 |
| Total | 10 |
Baseline characteristics
| Characteristic | Peer Support Group |
|---|---|
| Age, Categorical <=18 years | 10 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 3 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 6 Participants |
| Sex: Female, Male Female | 5 Participants |
| Sex: Female, Male Male | 5 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 10 |
| other Total, other adverse events | 0 / 10 |
| serious Total, serious adverse events | 0 / 10 |
Outcome results
Primary
Discord User Metrics
Participant involvement was measured by the number of user instances of involvement in the online group (group chats plus online events attended).
Time frame: 3 months
Population: Of the 10 who consented to the study, only 4 participated in chats and online events.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Peer Support Group | Discord User Metrics | 12.5 instances |
Primary
Yes Responses on Final Feedback Survey
Each participant had 4 yes/no questions to answer about their study experience. Yes implied high satisfaction, and no meant there was room for improvement.
Time frame: 3 months
Population: Of the 10 participants who consented to the study, only 4 completed the final survey.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Peer Support Group | Yes Responses on Final Feedback Survey | 3.5 responses |
Secondary
Diabetes Measures
percentage of HbA1c
Time frame: 3 months
Population: Of the 4 participants who actively made posts and attended events in the online group, there was one participant for whom the HbA1c before and after gap is larger than the 180 days typically used in intervention analyses, and the dates of the before and after A1c measurements do not align with the intervention timing. So the HbA1c was examined for the other 3 participants.
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Peer Support Group | Diabetes Measures | 7.167 percentage of HbA1c |